Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 Does he have any difficulty hearing? -Wes Ogilvie In a message dated 7/14/2006 9:52:19 PM Central Daylight Time, bbledsoe@... writes: Several years ago a family from New York moves to your town and opens the best Italian restaurant in town. The owners are friendly second-generation Italian-Americans and the food is as good as you can get in New York City. The restaurant is popular with EMS crews. One day, one of the two co-owners of the restaurant comes to the table and asks questions about his brother . is 48-years-old and, approximately four months, began to have problems sleeping. Later he developed panic attacks and developed a morbid fear of dead human bodies and yellow cheese. Lately, has gotten worse. He rarely sleeps and is now having increased panic attacks, vivid hallucinations, becomes easily agitated and sweats copiously at times. Interestingly, he does not produce tears any more and his eyes are very dry and he is constantly scratching them or instilling Murine eye drops. He also has diminished pain perception and has burned himself several times in the kitchen, His brother Luigi is very concerned about and wonders if you know what might be wrong with him. What is wrong with ? [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 Acoustic neuroma? -Wes Ogilvie In a message dated 7/14/2006 10:10:50 PM Central Daylight Time, bbledsoe@... writes: No. But he has visual and aural hallucinations. He hears bells. ____________________________________ From: ExLngHrn@... Sent: Friday, July 14, 2006 10:04 PM To: texasems-l Cc: bbledsoe@... Subject: Re: Now a real conundrum.... Does he have any difficulty hearing? -Wes Ogilvie In a message dated 7/14/2006 9:52:19 PM Central Daylight Time, bbledsoe@... writes: Several years ago a family from New York moves to your town and opens the best Italian restaurant in town. The owners are friendly second-generation Italian-Americans and the food is as good as you can get in New York City. The restaurant is popular with EMS crews. One day, one of the two co-owners of the restaurant comes to the table and asks questions about his brother . is 48-years-old and, approximately four months, began to have problems sleeping. Later he developed panic attacks and developed a morbid fear of dead human bodies and yellow cheese. Lately, has gotten worse. He rarely sleeps and is now having increased panic attacks, vivid hallucinations, becomes easily agitated and sweats copiously at times. Interestingly, he does not produce tears any more and his eyes are very dry and he is constantly scratching them or instilling Murine eye drops. He also has diminished pain perception and has burned himself several times in the kitchen, His brother Luigi is very concerned about and wonders if you know what might be wrong with him. What is wrong with ? [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 Am I close or way off base??? Sjögren's Syndrome Sjögren's syndrome is a chronic disorder of unknown cause characterized by a particular form of dry mouth and dry eyes. This loss of tears and saliva may result in characteristic changes in the eyes (called aqueous tear deficiency or keratoconjunctivitis sicca) and in the mouth with deterioration of the teeth, increased oral infection, difficulty in swallowing, and painful mouth. Sjögren's syndrome usually occurs in middle-aged women and has prevalence in about 1 in 500 persons. Patients may also have inflammation of the joints (arthritis), muscles (myositis), nerves (neuropathy), thyroid (thyroiditis), kidneys (nephritis), or other areas of the body. Also, patients may have severe fatigue and disruption of their sleep pattern. Because the blood of Sjögren's patients may contain antibodies directed against normal cellular substances such as nuclear antigens and immunoglobulins, this disease is termed an " autoimmune " disorder to denote the apparent reaction of the immune system against the patient's own tissues. The trigger for this process remains unknown but may be a virus. Diagnosis is based on clinical examination of the eyes and mouth. Specific blood tests and a biopsy of the minor salivary gland (taken from the inside of the lower lip) help confirm the diagnosis. Sjögren's syndrome is not fatal. However, attention must be paid to preventing the complications due to dry mouth and to dry eyes, as well as treatment of other organ systems involved as a consequence of the disease. The risk for passing this disease on to family members is extremely low. There is a slightly increased incidence of autoimmune diseases in siblings and children. Pregnant women should notify their obstetricians and pediatricians, since maternal autoantibodies may cross the placenta and cause problems for the infant. It is likely that the mouth and eye dryness results both from destruction of the salivary glands and from interruption of nerve signals that control secretion. In the early stages of Sjögren's syndrome, patients experience maximum dryness between meals and during the night due to a diminished " basal " secretion, but are still able to eat dry food without difficulty. As the " dryness " syndrome progresses, more fluid is required to eat and swallow. The diminished salivary flow also predisposes to periodontal disease and oral yeast infections such as Candida. Severe sensitivity to spicy foods and alcohol is a common complaint; in the same way, mouthwashes and dental products containing essential oils, such as eugenol, may be intolerable. In some patients, the infiltration of lymphocytes into the parotid or submandibular glands causes pain and swelling. To determine the extent of salivary gland destruction associated with oral dryness, a biopsy may be taken from the lower lip. This biopsy is important since it shows how many (if any) salivary glands remain and reveals the type of inflammatory infiltrate present. Although Sjögren's syndrome characteristically affects the eyes and the mouth, other parts of the body may also be affected. Joint and muscle pain are frequently present. In some cases, this is due to rheumatoid arthritis (RA), systemic lupus erythematosus (SLE) or SLE-like diseases. These diagnoses are confirmed by blood tests and x-rays of the joint. However, in some cases, the muscle and joint pain is due to Sjögren's. Fatigue is another common symptom. It is important to rule out hypothyroidism (which may develop in up to 20% of Sjögren's syndrome patients), anemia (due to decreased production of blood cells as well as blood loss from taking medicines such as aspirin, Advil or Naproxen for the joint pains), and poor sleeping patterns (especially due to frequent trips to the bathroom at night because of large oral fluid intake during the day). Decrease in memory and concentration sometimes occurs and may be to the release of inflammatory substances by the immune system. They can also occur due to disrupted sleep pattern. Skin rashes, lung inflammation, swollen lymph nodes, and other symptoms also occur. Although the initial trigger that sets off the autoimmune events leading to Sjögren's remains unknown, circumstantial evidence suggests that a virus is involved. One possible candidate is the Epstein-Barr virus (EBV), which causes infectious mononucleosis, a condition characterized by swollen salivary glands, joint aches and fatigue. Virtually all adults have been infected with EBV by age 20 years. After the initial infection, this virus normally resides in the salivary glands for life but causes no problems. It has been speculated that this virus (or a closely-related virus) may trigger an autoimmune response in genetically susceptible individuals. The putative infectious agent damages the salivary gland and attracts the " immune " lymphocytes into the salivary gland. These lymphocytes release specific autoantibodies such as rheumatoid factor (RF) and antinuclear antibodies; antibodies are directed against proteins termed Sjögren's-associated antigens A and B (or SS-A and SS-. These antibodies can enter the bloodstream and are measured in the blood tests that we obtain to confirm the diagnosis of Sjögren's syndrome. Additional T cells enter the gland and the damage is perpetuated. Under normal circumstances, a class of cells called " suppressor cells " turn off the inflammatory process. The continued destruction of the gland represents the abnormal balance of excessive action of T-helper cells and deficient action of T-suppressor cells. At the present time, no therapies are available to " cure " the underlying causes of Sjögren's syndrome. Therefore, therapies are directed at improving symptoms, preventing the complications (such as dental caries, oral candida, or corneal damage) and preventing disease progression. In patients with autoimmune attack on the glands (i.e., Sjögren's syndrome), there may also be autoimmune attack on the joints (arthritis), muscles (myositis), thyroid (thyroiditis), lung (pneumonitis), kidney (nephritis), or other tissues that require specific treatment. Also, there is a slightly increased risk of developing lymphoma (a tumor of the lymph nodes), so careful attention is paid to persistent swelling of these structures. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 Some sort of neuropathy is at work here. What toxins has he been exposed to? I suspect some kind of poisoning or a tumor. Looking further. What would cause him to be insomniac and also dry eyed? An pituitary or adrenal tumor? But how would they explain his peripheral neuropathy? And I can't find anything that links with necrophobia and turophobia. Good one, . Gene G. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 Let's do a blood level for lead, arsenic, and other heavy metals. I'm now thinking that he may drink a lot of red wine which is possibly tainted with lead. The typical presentation is not what you have described, but it should be ruled out. Gene G. > > Several years ago a family from New York moves to your town and opens the > best Italian restaurant in town. The owners are friendly second-generation > Italian-Americans and the food is as good as you can get in New York City. > The restaurant is popular with EMS crews. One day, one of the two co-owners > of the restaurant comes to the table and asks questions about his brother > . is 48-years-old and, approximately four months, began to have > problems sleeping. Later he developed panic attacks and developed a morbid > fear of dead human bodies and yellow cheese. Lately, has gotten worse. > He rarely sleeps and is now having increased panic attacks, vivid > hallucinations, becomes easily agitated and sweats copiously at times. > Interestingly, he does not produce tears any more and his eyes are very dry > and he is constantly scratching them or instilling Murine eye drops. He also > has diminished pain perception and has burned himself several times in the > kitchen, His brother Luigi is very concerned about and wonders if you > know what might be wrong with him. > > What is wrong with ? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 Can we know 's vital signs? Gene G. > > Several years ago a family from New York moves to your town and opens the > best Italian restaurant in town. The owners are friendly second-generation > Italian-Americans and the food is as good as you can get in New York City. > The restaurant is popular with EMS crews. One day, one of the two co-owners > of the restaurant comes to the table and asks questions about his brother > . is 48-years-old and, approximately four months, began to have > problems sleeping. Later he developed panic attacks and developed a morbid > fear of dead human bodies and yellow cheese. Lately, has gotten worse. > He rarely sleeps and is now having increased panic attacks, vivid > hallucinations, becomes easily agitated and sweats copiously at times. > Interestingly, he does not produce tears any more and his eyes are very dry > and he is constantly scratching them or instilling Murine eye drops. He also > has diminished pain perception and has burned himself several times in the > kitchen, His brother Luigi is very concerned about and wonders if you > know what might be wrong with him. > > What is wrong with ? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 Has been doing any rodent control? Could he have low level strychnine poisoning? Has he been taking any kind of OTC drugs for allergies, et cetera? How has his urine output been? Is he " dry " all over, or just in his eyes? I still can't find anything that speaks to the necrophobia and turophobia. Gene G. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 Is there a medical diagnosis for that condition? GG > > He married my ex wife? > > Hatfield FF/EMT-P > > www.canyonlakefire- www.ca > > www.michaelhatfield www > > (updated 6.15.06) > > Now a real conundrum... > > Several years ago a family from New York moves to your town and opens the > best Italian restaurant in town. The owners are friendly second-generation > Italian-Americans and the food is as good as you can get in New York City. > The restaurant is popular with EMS crews. One day, one of the two co-owners > of the restaurant comes to the table and asks questions about his brother > . is 48-years-old and, approximately four months, began to have > problems sleeping. Later he developed panic attacks and developed a morbid > fear of dead human bodies and yellow cheese. Lately, has gotten worse. > He rarely sleeps and is now having increased panic attacks, vivid > hallucinations, becomes easily agitated and sweats copiously at times. > Interestingly, he does not produce tears any more and his eyes are very dry > and he is constantly scratching them or instilling Murine eye drops. He also > has diminished pain perception and has burned himself several times in the > kitchen, His brother Luigi is very concerned about and wonders if you > know what might be wrong with him. > > What is wrong with ? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 Several years ago a family from New York moves to your town and opens the best Italian restaurant in town. The owners are friendly second-generation Italian-Americans and the food is as good as you can get in New York City. The restaurant is popular with EMS crews. One day, one of the two co-owners of the restaurant comes to the table and asks questions about his brother . is 48-years-old and, approximately four months, began to have problems sleeping. Later he developed panic attacks and developed a morbid fear of dead human bodies and yellow cheese. Lately, has gotten worse. He rarely sleeps and is now having increased panic attacks, vivid hallucinations, becomes easily agitated and sweats copiously at times. Interestingly, he does not produce tears any more and his eyes are very dry and he is constantly scratching them or instilling Murine eye drops. He also has diminished pain perception and has burned himself several times in the kitchen, His brother Luigi is very concerned about and wonders if you know what might be wrong with him. What is wrong with ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 Got to do some more reading.. But I am leaning toward Drug abuse (Amphetamines) Tom Now a real conundrum.... Several years ago a family from New York moves to your town and opens the best Italian restaurant in town. The owners are friendly second-generation Italian-Americans and the food is as good as you can get in New York City. The restaurant is popular with EMS crews. One day, one of the two co-owners of the restaurant comes to the table and asks questions about his brother . is 48-years-old and, approximately four months, began to have problems sleeping. Later he developed panic attacks and developed a morbid fear of dead human bodies and yellow cheese. Lately, has gotten worse. He rarely sleeps and is now having increased panic attacks, vivid hallucinations, becomes easily agitated and sweats copiously at times. Interestingly, he does not produce tears any more and his eyes are very dry and he is constantly scratching them or instilling Murine eye drops. He also has diminished pain perception and has burned himself several times in the kitchen, His brother Luigi is very concerned about and wonders if you know what might be wrong with him. What is wrong with ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 He married my ex wife? Hatfield FF/EMT-P www.canyonlakefire-ems.org www.michaelhatfield.net (updated 6.15.06) Now a real conundrum.... Several years ago a family from New York moves to your town and opens the best Italian restaurant in town. The owners are friendly second-generation Italian-Americans and the food is as good as you can get in New York City. The restaurant is popular with EMS crews. One day, one of the two co-owners of the restaurant comes to the table and asks questions about his brother . is 48-years-old and, approximately four months, began to have problems sleeping. Later he developed panic attacks and developed a morbid fear of dead human bodies and yellow cheese. Lately, has gotten worse. He rarely sleeps and is now having increased panic attacks, vivid hallucinations, becomes easily agitated and sweats copiously at times. Interestingly, he does not produce tears any more and his eyes are very dry and he is constantly scratching them or instilling Murine eye drops. He also has diminished pain perception and has burned himself several times in the kitchen, His brother Luigi is very concerned about and wonders if you know what might be wrong with him. What is wrong with ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 One other consideration would be is there a source of Mercury somwhere? Tom Now a real conundrum... . Several years ago a family from New York moves to your town and opens the best Italian restaurant in town. The owners are friendly second-generation Italian-Americans and the food is as good as you can get in New York City. The restaurant is popular with EMS crews. One day, one of the two co-owners of the restaurant comes to the table and asks questions about his brother . is 48-years-old and, approximately four months, began to have problems sleeping. Later he developed panic attacks and developed a morbid fear of dead human bodies and yellow cheese. Lately, has gotten worse. He rarely sleeps and is now having increased panic attacks, vivid hallucinations, becomes easily agitated and sweats copiously at times. Interestingly, he does not produce tears any more and his eyes are very dry and he is constantly scratching them or instilling Murine eye drops. He also has diminished pain perception and has burned himself several times in the kitchen, His brother Luigi is very concerned about and wonders if you know what might be wrong with him. What is wrong with ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 Some similar symptoms (dry eye) but no. _____ From: texasems-l [mailto:texasems-l ] On Behalf Of cllw602@... Sent: Friday, July 14, 2006 10:47 PM To: texasems-l Subject: Re: Now a real conundrum.... Am I close or way off base??? Sjögren's Syndrome Sjögren's syndrome is a chronic disorder of unknown cause characterized by a particular form of dry mouth and dry eyes. This loss of tears and saliva may result in characteristic changes in the eyes (called aqueous tear deficiency or keratoconjunctivitis sicca) and in the mouth with deterioration of the teeth, increased oral infection, difficulty in swallowing, and painful mouth. Sjögren's syndrome usually occurs in middle-aged women and has prevalence in about 1 in 500 persons. Patients may also have inflammation of the joints (arthritis), muscles (myositis), nerves (neuropathy), thyroid (thyroiditis), kidneys (nephritis), or other areas of the body. Also, patients may have severe fatigue and disruption of their sleep pattern. Because the blood of Sjögren's patients may contain antibodies directed against normal cellular substances such as nuclear antigens and immunoglobulins, this disease is termed an " autoimmune " disorder to denote the apparent reaction of the immune system against the patient's own tissues. The trigger for this process remains unknown but may be a virus. Diagnosis is based on clinical examination of the eyes and mouth. Specific blood tests and a biopsy of the minor salivary gland (taken from the inside of the lower lip) help confirm the diagnosis. Sjögren's syndrome is not fatal. However, attention must be paid to preventing the complications due to dry mouth and to dry eyes, as well as treatment of other organ systems involved as a consequence of the disease. The risk for passing this disease on to family members is extremely low. There is a slightly increased incidence of autoimmune diseases in siblings and children. Pregnant women should notify their obstetricians and pediatricians, since maternal autoantibodies may cross the placenta and cause problems for the infant. It is likely that the mouth and eye dryness results both from destruction of the salivary glands and from interruption of nerve signals that control secretion. In the early stages of Sjögren's syndrome, patients experience maximum dryness between meals and during the night due to a diminished " basal " secretion, but are still able to eat dry food without difficulty. As the " dryness " syndrome progresses, more fluid is required to eat and swallow. The diminished salivary flow also predisposes to periodontal disease and oral yeast infections such as Candida. Severe sensitivity to spicy foods and alcohol is a common complaint; in the same way, mouthwashes and dental products containing essential oils, such as eugenol, may be intolerable. In some patients, the infiltration of lymphocytes into the parotid or submandibular glands causes pain and swelling. To determine the extent of salivary gland destruction associated with oral dryness, a biopsy may be taken from the lower lip. This biopsy is important since it shows how many (if any) salivary glands remain and reveals the type of inflammatory infiltrate present. Although Sjögren's syndrome characteristically affects the eyes and the mouth, other parts of the body may also be affected. Joint and muscle pain are frequently present. In some cases, this is due to rheumatoid arthritis (RA), systemic lupus erythematosus (SLE) or SLE-like diseases. These diagnoses are confirmed by blood tests and x-rays of the joint. However, in some cases, the muscle and joint pain is due to Sjögren's. Fatigue is another common symptom. It is important to rule out hypothyroidism (which may develop in up to 20% of Sjögren's syndrome patients), anemia (due to decreased production of blood cells as well as blood loss from taking medicines such as aspirin, Advil or Naproxen for the joint pains), and poor sleeping patterns (especially due to frequent trips to the bathroom at night because of large oral fluid intake during the day). Decrease in memory and concentration sometimes occurs and may be to the release of inflammatory substances by the immune system. They can also occur due to disrupted sleep pattern. Skin rashes, lung inflammation, swollen lymph nodes, and other symptoms also occur. Although the initial trigger that sets off the autoimmune events leading to Sjögren's remains unknown, circumstantial evidence suggests that a virus is involved. One possible candidate is the Epstein-Barr virus (EBV), which causes infectious mononucleosis, a condition characterized by swollen salivary glands, joint aches and fatigue. Virtually all adults have been infected with EBV by age 20 years. After the initial infection, this virus normally resides in the salivary glands for life but causes no problems. It has been speculated that this virus (or a closely-related virus) may trigger an autoimmune response in genetically susceptible individuals. The putative infectious agent damages the salivary gland and attracts the " immune " lymphocytes into the salivary gland. These lymphocytes release specific autoantibodies such as rheumatoid factor (RF) and antinuclear antibodies; antibodies are directed against proteins termed Sjögren's-associated antigens A and B (or SS-A and SS-. These antibodies can enter the bloodstream and are measured in the blood tests that we obtain to confirm the diagnosis of Sjögren's syndrome. Additional T cells enter the gland and the damage is perpetuated. Under normal circumstances, a class of cells called " suppressor cells " turn off the inflammatory process. The continued destruction of the gland represents the abnormal balance of excessive action of T-helper cells and deficient action of T-suppressor cells. At the present time, no therapies are available to " cure " the underlying causes of Sjögren's syndrome. Therefore, therapies are directed at improving symptoms, preventing the complications (such as dental caries, oral candida, or corneal damage) and preventing disease progression. In patients with autoimmune attack on the glands (i.e., Sjögren's syndrome), there may also be autoimmune attack on the joints (arthritis), muscles (myositis), thyroid (thyroiditis), lung (pneumonitis), kidney (nephritis), or other tissues that require specific treatment. Also, there is a slightly increased risk of developing lymphoma (a tumor of the lymph nodes), so careful attention is paid to persistent swelling of these structures. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 There is a neuropathy component. Only toxins include routine restaurant cleaning supplies. He drinks wine every day. Tumor is a possibility, _____ From: texasems-l [mailto:texasems-l ] On Behalf Of wegandy1938@... Sent: Friday, July 14, 2006 11:13 PM To: texasems-l Subject: Re: Now a real conundrum.... Some sort of neuropathy is at work here. What toxins has he been exposed to? I suspect some kind of poisoning or a tumor. Looking further. What would cause him to be insomniac and also dry eyed? An pituitary or adrenal tumor? But how would they explain his peripheral neuropathy? And I can't find anything that links with necrophobia and turophobia. Good one, . Gene G. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 Only OTC med is Advil for his wrist. There are no rodents in Café —it is very clean. _____ From: texasems-l [mailto:texasems-l ] On Behalf Of wegandy1938@... Sent: Friday, July 14, 2006 11:36 PM To: texasems-l Subject: Re: Now a real conundrum.... Has been doing any rodent control? Could he have low level strychnine poisoning? Has he been taking any kind of OTC drugs for allergies, et cetera? How has his urine output been? Is he " dry " all over, or just in his eyes? I still can't find anything that speaks to the necrophobia and turophobia. Gene G. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 BP 108/60 mmHg, Pulse 62, Respirations 11, Oral Temp 97.9 F _____ From: texasems-l [mailto:texasems-l ] On Behalf Of wegandy1938@... Sent: Friday, July 14, 2006 11:32 PM To: texasems-l Subject: Re: Now a real conundrum.... Can we know 's vital signs? Gene G. In a message dated 7/14/06 9:52:41 PM, bbledsoe (AT) earthlink (DOT) <mailto:bbledsoe%40earthlink.net> net writes: > > Several years ago a family from New York moves to your town and opens the > best Italian restaurant in town. The owners are friendly second-generation > Italian-Americans and the food is as good as you can get in New York City. > The restaurant is popular with EMS crews. One day, one of the two co-owners > of the restaurant comes to the table and asks questions about his brother > . is 48-years-old and, approximately four months, began to have > problems sleeping. Later he developed panic attacks and developed a morbid > fear of dead human bodies and yellow cheese. Lately, has gotten worse. > He rarely sleeps and is now having increased panic attacks, vivid > hallucinations, becomes easily agitated and sweats copiously at times. > Interestingly, he does not produce tears any more and his eyes are very dry > and he is constantly scratching them or instilling Murine eye drops. He also > has diminished pain perception and has burned himself several times in the > kitchen, His brother Luigi is very concerned about and wonders if you > know what might be wrong with him. > > What is wrong with ? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 An Industrial hygiene type question... was there a difference in the type of pizza oven that was used (wood vs. gas vs. electric) in the previous location and the new location? " A prudent man foresees the difficulties ahead and prepares for them; the simpleton goes blindly on and suffers the consequences. " Proverbs 22:3 --------------------------------- Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 That will come with heavy metal assay Gene ordered and sent to S & W. _____ From: texasems-l [mailto:texasems-l ] On Behalf Of FireMedic1633@... Sent: Friday, July 14, 2006 11:26 PM To: texasems-l Subject: Re: Now a real conundrum.... One other consideration would be is there a source of Mercury somwhere? Tom Now a real conundrum... . Several years ago a family from New York moves to your town and opens the best Italian restaurant in town. The owners are friendly second-generation Italian-Americans and the food is as good as you can get in New York City. The restaurant is popular with EMS crews. One day, one of the two co-owners of the restaurant comes to the table and asks questions about his brother . is 48-years-old and, approximately four months, began to have problems sleeping. Later he developed panic attacks and developed a morbid fear of dead human bodies and yellow cheese. Lately, has gotten worse. He rarely sleeps and is now having increased panic attacks, vivid hallucinations, becomes easily agitated and sweats copiously at times. Interestingly, he does not produce tears any more and his eyes are very dry and he is constantly scratching them or instilling Murine eye drops. He also has diminished pain perception and has burned himself several times in the kitchen, His brother Luigi is very concerned about and wonders if you know what might be wrong with him. What is wrong with ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 Gas oven _____ From: texasems-l [mailto:texasems-l ] On Behalf Of Larry Sent: Saturday, July 15, 2006 1:14 AM To: texasems-l Subject: RE: Now a real conundrum.... An Industrial hygiene type question... was there a difference in the type of pizza oven that was used (wood vs. gas vs. electric) in the previous location and the new location? " A prudent man foresees the difficulties ahead and prepares for them; the simpleton goes blindly on and suffers the consequences. " Proverbs 22:3 --------------------------------- Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 Any mold present. Old building and such. Bledsoe wrote: Several years ago a family from New York moves to your town and opens the best Italian restaurant in town. The owners are friendly second-generation Italian-Americans and the food is as good as you can get in New York City. The restaurant is popular with EMS crews. One day, one of the two co-owners of the restaurant comes to the table and asks questions about his brother . is 48-years-old and, approximately four months, began to have problems sleeping. Later he developed panic attacks and developed a morbid fear of dead human bodies and yellow cheese. Lately, has gotten worse. He rarely sleeps and is now having increased panic attacks, vivid hallucinations, becomes easily agitated and sweats copiously at times. Interestingly, he does not produce tears any more and his eyes are very dry and he is constantly scratching them or instilling Murine eye drops. He also has diminished pain perception and has burned himself several times in the kitchen, His brother Luigi is very concerned about and wonders if you know what might be wrong with him. What is wrong with ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 --- In texasems-l , wegandy1938@... wrote (in response to Hatfield's query ( " He married my ex-wife? " : > > Is there a medical diagnosis for that condition? _______________________________________________ No . . . that's an old wives' tale. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 What meds (Rx and OTC) is taking? What is his past med/surg hx? Did anything change in his life 4 months ago when all this started? Bledsoe wrote: Several years ago a family from New York moves to your town and opens the best Italian restaurant in town. The owners are friendly second-generation Italian-Americans and the food is as good as you can get in New York City. The restaurant is popular with EMS crews. One day, one of the two co-owners of the restaurant comes to the table and asks questions about his brother . is 48-years-old and, approximately four months, began to have problems sleeping. Later he developed panic attacks and developed a morbid fear of dead human bodies and yellow cheese. Lately, has gotten worse. He rarely sleeps and is now having increased panic attacks, vivid hallucinations, becomes easily agitated and sweats copiously at times. Interestingly, he does not produce tears any more and his eyes are very dry and he is constantly scratching them or instilling Murine eye drops. He also has diminished pain perception and has burned himself several times in the kitchen, His brother Luigi is very concerned about and wonders if you know what might be wrong with him. What is wrong with ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 While it is possible that his symptoms and signs are of psychological origin, I'm still looking for a neuropathy of some sort. So what are his catecholamine levels? What is his tyrosine level? If he has a problem with yellow cheese, does he have a problem with red wine or processed meats like the stuff he puts on his pizzas? There's got to be some cranial nerve involvement here, olfactory and whatever runs his lacrimal glands. I am thinking that I would want to have see a physician immediately for a workup for possible multiple sclerosis. Perhaps an MRI of his head? You said he had no Rx and only took Aleve. Does he take any vitamin or " health " supplements? Anybody else thinking along these lines? Gene G. > > Advil for his wrist. Gall bladder surgery (laparoscopic) 2 years ago. > Cholesterol high. No Rx meds. No changes last 4 months. Business very > good. > > _____ > > From: texasems-l@yahoogrotexasem [mailto:texasems-l@yahoogrotexasem] On > Behalf Of Lala > Sent: Saturday, July 15, 2006 3:56 PM > To: texasems-l@yahoogrotexasem > Subject: Re: Now a real conundrum... > > What meds (Rx and OTC) is taking? What is his past med/surg hx? Did > anything change in his life 4 months ago when all this started? > > Bledsoe <bbledsoe@earthlinkbb<mailto:bbledsoe%mailto:bbledmai> net> > wrote: Several years ago a family from New York moves to your town and opens > the > best Italian restaurant in town. The owners are friendly second-generation > Italian-Americans and the food is as good as you can get in New York City. > The restaurant is popular with EMS crews. One day, one of the two co-owners > of the restaurant comes to the table and asks questions about his brother > . is 48-years-old and, approximately four months, began to have > problems sleeping. Later he developed panic attacks and developed a morbid > fear of dead human bodies and yellow cheese. Lately, has gotten worse. > He rarely sleeps and is now having increased panic attacks, vivid > hallucinations, becomes easily agitated and sweats copiously at times. > Interestingly, he does not produce tears any more and his eyes are very dry > and he is constantly scratching them or instilling Murine eye drops. He also > has diminished pain perception and has burned himself several times in the > kitchen, His brother Luigi is very concerned about and wonders if you > know what might be wrong with him. > > What is wrong with ? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 No. and Luigi keep a very clean café. The building is old but clean. No mold. _____ From: texasems-l [mailto:texasems-l ] On Behalf Of Danny Sent: Saturday, July 15, 2006 9:40 AM To: texasems-l Subject: Re: Now a real conundrum.... Any mold present. Old building and such. Bledsoe <bbledsoe (AT) earthlink (DOT) <mailto:bbledsoe%40earthlink.net> net> wrote: Several years ago a family from New York moves to your town and opens the best Italian restaurant in town. The owners are friendly second-generation Italian-Americans and the food is as good as you can get in New York City. The restaurant is popular with EMS crews. One day, one of the two co-owners of the restaurant comes to the table and asks questions about his brother . is 48-years-old and, approximately four months, began to have problems sleeping. Later he developed panic attacks and developed a morbid fear of dead human bodies and yellow cheese. Lately, has gotten worse. He rarely sleeps and is now having increased panic attacks, vivid hallucinations, becomes easily agitated and sweats copiously at times. Interestingly, he does not produce tears any more and his eyes are very dry and he is constantly scratching them or instilling Murine eye drops. He also has diminished pain perception and has burned himself several times in the kitchen, His brother Luigi is very concerned about and wonders if you know what might be wrong with him. What is wrong with ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 Advil for his wrist. Gall bladder surgery (laparoscopic) 2 years ago. Cholesterol high. No Rx meds. No changes last 4 months. Business very good. _____ From: texasems-l [mailto:texasems-l ] On Behalf Of Lala Sent: Saturday, July 15, 2006 3:56 PM To: texasems-l Subject: Re: Now a real conundrum.... What meds (Rx and OTC) is taking? What is his past med/surg hx? Did anything change in his life 4 months ago when all this started? Bledsoe <bbledsoe (AT) earthlink (DOT) <mailto:bbledsoe%40earthlink.net> net> wrote: Several years ago a family from New York moves to your town and opens the best Italian restaurant in town. The owners are friendly second-generation Italian-Americans and the food is as good as you can get in New York City. The restaurant is popular with EMS crews. One day, one of the two co-owners of the restaurant comes to the table and asks questions about his brother . is 48-years-old and, approximately four months, began to have problems sleeping. Later he developed panic attacks and developed a morbid fear of dead human bodies and yellow cheese. Lately, has gotten worse. He rarely sleeps and is now having increased panic attacks, vivid hallucinations, becomes easily agitated and sweats copiously at times. Interestingly, he does not produce tears any more and his eyes are very dry and he is constantly scratching them or instilling Murine eye drops. He also has diminished pain perception and has burned himself several times in the kitchen, His brother Luigi is very concerned about and wonders if you know what might be wrong with him. What is wrong with ? Quote Link to comment Share on other sites More sharing options...
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